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INDICATOR NAME
Name
Emergency Department Visits by Home Care Patients within 30 Days of Leaving Hospital
Alternate Name
Percentage of new patients receiving publicly funded home care who had an unplanned emergency department visit within 30 days of leaving hospital, among those referred to home care from hospital or within 7 days of discharge
 
INDICATOR DESCRIPTION
Description

This indicator shows the percentage of new patients receiving publicly funded home care who had an unplanned emergency department visit within 30 days of leaving hospital, among those referred to home care from hospital or within 7 days of discharge.

Timely follow-up after hospital discharge can help prevent the return of home care patients to the emergency department.

A lower percentage is better.

HQO Reporting tool/product
Public reporting
Dimension
Efficient
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by denominator times 100
Numerator (short description i.e. not inclusions/exclusions)
The number of unscheduled emergency department visits by home care patients newly referred to home care services within 30 days of initial hospital discharge
Denominator (short description i.e. not inclusions/exclusions)
The number of patients newly referred to home care from hospital who were discharged from hospital and received their first home care service visit within the time period of interest
Adjustment (risk, age/sex standardization)- generalized
None
Data Source
Discharge Abstract Database (DAD), Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
Reported Levels of comparability /stratifications (defined)
Province, Region
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
The emergency department visit may occur before or after the first home care service visit.
Comments Summary
Emergency department visits are counted as up to 30 days from the discharge of the index hospitalization, not including the day of discharge. This can extend into the next fiscal year. This indicator is reported for new home care patients only (referrals only occur for patients not already receiving more care). This indicator assumes that referrals with a referral date between hospital admission date and seven days after hospital discharge are referrals from hospital. It does not capture the location of the referral. Although unlikely, a patient can be counted in the denominator more than once in the same fiscal year.
 
TAGS
Sector
Home Care
Type
Outcome
Topic
Integration
Dimension
Efficient
Source
Discharge Abstract Database (DAD), Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)
 
PUBLISH
Publish Datetime
16/04/2024 13:28:00